Table 1. Prevalence of Lung Cancer Screening by Demographic and Health Characteristics, Among Individuals Representing 3.68 Million Screen-Eligible US Individuals, 2017-2020.
Variable | Total, unweighted No. (N = 14 550) | Underwent screening, unweighted No. (N = 2248) | Underwent screening, weighted % (95% CI) | P value | Missinga |
---|---|---|---|---|---|
Self-rated general health | |||||
Excellent | 846 | 96 | 7.6 (5.0-10.3) | <.001 | 49 |
Very good | 3195 | 365 | 12.8 (7.8-17.7) | ||
Good | 4966 | 670 | 15.4 (12.4-18.5) | ||
Fair | 3488 | 641 | 20.6 (16.6-24.7) | ||
Poor | 2006 | 468 | 25.2 (20.6-29.9) | ||
Race and ethnicity | |||||
Non-Hispanic Black | 446 | 58 | 12.0 (4.3-19.7) | ||
Non-Hispanic White | 12 955 | 2011 | 17.5 (15.6-19.5) | .57 | 219 |
Otherb | 930 | 139 | 15.0 (3.5-26.5) | ||
Age, y | |||||
55-64 | 7023 | 910 | 15.2 (12.5-17.8) | .04 | 0 |
65-79 | 7527 | 1338 | 19.2 (16.5-22.0) | ||
Sex | |||||
Male | 7802 | 1191 | 16.0 (13.7-18.2) | .28 | 5 |
Female | 6743 | 1055 | 18.2 (14.9-21.4) | ||
Marital status | |||||
Not married | 8053 | 1269 | 18.2 (15.2-21.3) | .22 | 60 |
Married | 6437 | 970 | 15.8 (13.5-18.1) | ||
Educational attainment | |||||
High school diploma or less | 7125 | 1086 | 17.2 (14.5-19.9) | .81 | 26 |
Some college or more | 7399 | 1158 | 16.7 (14.0-19.4) | ||
Difficulty paying for medical care | |||||
No | 12 849 | 2041 | 17.9 (15.8-20.1) | <.001 | 38 |
Yes | 1663 | 200 | 10.1 (7.4-12.8) | ||
Body mass indexc | |||||
<18.5 | 338 | 77 | 19.3 (10.5-28.2) | .42 | 579 |
18.5 to <25 | 3946 | 659 | 17.8 (14.4-21.1) | ||
25 to <30 | 4878 | 696 | 17.2 (13.2-21.2) | ||
≥30 | 4809 | 738 | 16.2 (13.5-19.0) | ||
Smoking history, pack-yearsd | |||||
Quartile 1: 30-39 | 3729 | 427 | 12.9 (8.8-17.1) | .003 | 0 |
Quartile 2: 39-45 | 3633 | 527 | 15.1 (12.3-18.0) | ||
Quartile 3: 45-58.75 | 3756 | 668 | 19.7 (15.8-23.6) | ||
Quartile 4: >58.75 | 3432 | 626 | 21.1 (16.9-25.4) | ||
Difficulty walking or climbing stairs | |||||
No | 9363 | 1291 | 15.4 (13.1-17.8) | .04 | 60 |
Yes | 5127 | 947 | 19.7 (16.4-23.1) | ||
Difficulty dressing or bathing | |||||
No | 13 090 | 1947 | 16.3 (14.3-18.3) | .06 | 27 |
Yes | 1433 | 296 | 23.2 (16.4-30.0) | ||
Difficulty doing errands alone | |||||
No | 12 482 | 1834 | 16.2 (14.1-18.3) | .02 | 55 |
Yes | 2013 | 405 | 22.3 (17.6-27.0) | ||
Chronic kidney disease | |||||
No | 13 593 | 2072 | 16.7 (14.7-18.7) | .38 | 58 |
Yes | 899 | 161 | 20.5 (12.3-28.7) | ||
Arthritis | |||||
No | 7038 | 958 | 15.4 (12.6-18.2) | .09 | 88 |
Yes | 7424 | 1279 | 18.7 (16.1-21.4) | ||
Chronic obstructive pulmonary disease | |||||
No | 9241 | 996 | 11.2 (9.0-13.4) | <.001 | 49 |
Yes | 5260 | 1248 | 27.6 (24.1-31.1) | ||
Asthma | |||||
No | 12 679 | 1849 | 16.2 (14.2-18.2) | .09 | 136 |
Yes | 1735 | 368 | 21.9 (15.7-28.0) | ||
Vascular diseasee | |||||
No | 10 617 | 1518 | 16.4 (14.1-18.8) | .31 | 29 |
Yes | 3904 | 723 | 18.5 (15.3-21.6) | ||
Diabetes | |||||
No | 11 329 | 1720 | 15.7 (13.6-17.8) | .01 | 23 |
Yes | 3198 | 525 | 21.7 (17.4-25.9) | ||
Personal history of cancerf | |||||
No | 12 317 | 1618 | 14.7 (12.6-16.7) | <.001 | 50 |
Yes | 2183 | 615 | 31.2 (26.1-36.3) | ||
No. of comorbiditiesg | |||||
0 | 3354 | 316 | 11.0 (6.8-15.2) | <.001 | 0 |
1 | 4434 | 576 | 13.8 (10.8-16.8) | ||
2 | 3449 | 634 | 19.7 (16.4-23.1) | ||
≥3 | 3313 | 722 | 25.4 (20.8-29.9) |
Individuals with missing values were excluded from the analysis. For all categories, less than 5% of data were missing.
Other race is defined as American Indian or Alaska Native non-Hispanic, Asian non-Hispanic, Native Hawaiian or other Pacific Islander non-Hispanic, other race non-Hispanic, multiracial non-Hispanic, or Hispanic.
Body mass index is calculated as weight in kilograms divided by height in meters squared.
Smoking history is defined as mean number of packs smoked per day, multiplied by duration of smoking in years.
Vascular disease is defined as prior myocardial infarction, coronary heart disease, cerebrovascular accident.
Personal history of cancer excludes skin cancer. Individuals with a personal history of lung cancer were excluded from the analysis.
Comorbidities are defined as the following: chronic kidney disease, arthritis, chronic obstructive pulmonary disease, asthma, vascular disease, diabetes, or personal history of cancer other than skin cancer.